| NPI | 1255304184 |
|---|---|
| Former Name | WENDY LEA LONGCHAMPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2787) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 072310) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 003315) | |
| 163W00000X Registered Nurse (Licence: AZ RN146859) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AZ2787) | |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2016-12-14 |